Active NPI
Betty Ann Dobbs, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Ackerman, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 905147
- Practice address
- 1030 West Main Street
Ackerman, MS 39772 - Phone
- (662) 705-3239
- Fax
- (662) 705-8795
- NPI assigned
- Jan 2, 2022
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 905147 | MS | |
| Primary Care Nurse Practitioner | 363LP2300X | 905147 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905147 | MS | Primary |
| Registered Nurse | 163W00000X | R876207 | MS | |
| Community Health Registered Nurse | 163WC1500X | R876207 | MS | |
| Nurse Practitioner | 363L00000X | 905147 | MS |
Addresses
Primary practice location
1030 West Main Street
Ackerman, MS 39772
Mailing address
1030 West Main St
268 Penderville Rd Weir, Ms 39772 (Home Address)
Ackerman, MS 39735
Phone (662) 285-3239
Other practice location 1
102 Brickerton St
Columbus, MS 39701-3608
Phone (662) 570-1109 ext. 104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R876207 | MS | MD | Community Health Registered Nurse |
| 905147 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yeates Consulting ,LLC | Current | Accepting new patients | |
| Positive Thinking LLC | Current | Accepting new patients | |
| Right Track Medical Group, Inc | Current | Accepting new patients | |
| Father's Child Ministry | Past | Accepting new patients |
Locations
1030 W Main St
Ackerman, MS 39735
Phone (662) 285-3239
104 Brickerton St
Columbus, MS 39701
Phone (662) 251-4632
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Right Track Medical Group
- Psychiatry Physician
- Flowood, MS
- NPI 1770717449
-
- Psychiatry Physician
- Olive Branch, MS
- NPI 1972080257
-
- Community/Behavioral Health Agency
- Columbus, MS
- NPI 1104235951
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ackerman, MS
- NPI 1467256677
-
- Community/Behavioral Health Agency
- Columbus, MS
- NPI 1083076418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1558022665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 WEST MAIN ST",
"address_2": "268 PENDERVILLE RD WEIR, MS 39772 (HOME ADDRESS)",
"city": "ACKERMAN",
"state": "MS",
"postal_code": "39735",
"telephone_number": "662-285-3239",
"fax_number": "662-285-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 WEST MAIN STREET",
"city": "ACKERMAN",
"state": "MS",
"postal_code": "39772",
"telephone_number": "662-705-3239",
"fax_number": "662-705-8795"
}
],
"practiceLocations": [
{
"address_1": "102 Brickerton St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "MS",
"postal_code": "397013608",
"country_code": "US",
"telephone_number": "662-570-1109 x104",
"fax_number": "662-328-3135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBS",
"first_name": "BETTY",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2024-08-26",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "MS",
"license": "905147",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "905147",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "905147",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R876207",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MS",
"license": "R876207",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "905147",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ackerman, MS
- Choctaw Regional Medical Center (Choctaw Nursing and Rehabilitation Center)
- Clarity Counseling Group LLC
- Sylvia Crutchfield, NP
- Brittany Dempsey Dickerson, FNP-C
- Discount Drugs of Ms LLC (Ackerman Discount Drugs)
- Shannon Dobbs, DO
- Jan Ganann, PHD
- Reginald Gandy, MS
- Shunda Lynette Garner, MD
- Celeste Prather Hamous, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.